Chen Rong-Chang, Sun Gui-Bo, Zhang Qiang, Ye Zu-Guang, Sun Xiao-Bo
Institute of Medicinal Plant Development, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100193, China.
Zhongguo Zhong Yao Za Zhi. 2013 Apr;38(8):1126-9.
Aconite has the efficacy of reviving yang for resuscitation, dispelling cold and relieving pain, which is widely used in clinic, and shows unique efficacy in treating severe diseases. However, aconite has great toxicity, with obvious cardio-toxicity and neurotoxicity. Its toxicological mechanism main shows in the effect on voltage-dependent sodium channels, release of neurotransmitters and changes in receptors, promotion of lipid peroxidation and cell apoptosis in heart, liver and other tissues. Aconite works to reduce toxicity mainly through compatibility and processing. Besides traditional processing methods, many new modern processing techniques could also help achieve the objectives of detoxification and efficacy enhancement. In order to further develop the medicinal value of aconite and reduce its side effect in clinical application, this article gives comprehensive comments on aconite's toxicity characteristics, mechanism and detoxification methods on the basis of relevant reports for aconite's toxicity and the author's experimental studies.
附子具有回阳救逆、散寒止痛之功效,临床应用广泛,在治疗重症方面显示出独特疗效。然而,附子毒性极大,具有明显的心脏毒性和神经毒性。其毒理机制主要表现为对电压依赖性钠通道的影响、神经递质释放及受体变化、促进心脏、肝脏等组织脂质过氧化和细胞凋亡。附子减毒主要通过配伍和炮制。除传统炮制方法外,许多新的现代炮制技术也有助于达到解毒增效的目的。为进一步开发附子药用价值并降低其临床应用中的副作用,本文在附子毒性相关报道及作者实验研究基础上,对附子毒性特点、机制及解毒方法进行综合评述。